Tuesday, May 5, 2020

Tele Health Diagnostic System Licensure Policies

Question: Describe about the Tele Health Diagnostic System for Licensure Policies. Answer: Stake holder mapping Diagram 1: Stakeholder mapping (Source: created by author) Questionnaire to detect the problem area The following set of questions will be helpful to determine the necessity of the system, a) Why improvement in the existing Tele-health system is required? b) Challenges and risks related to the implementation of the Tele-health system? c) Effect of the implementation of Tele-health system on the normal life of people? d) How the implementation of Tele health system will be affected if the technology is not accepted by people? e) Required changes in the infrastructural level of hospitals or health facilities to adopt the new Tele-health system? Use case diagram Diagram 2: Use case diagram for Tele-health system (Source: created by author) Description of the given Use-case diagram In the given use case diagram, the three actors in the whole Tele health system is identified as patients, clinical staff (Doctors and staff) and technical staff for the system. Doctors or health instructors are involved in various processes like presenting slide shows, providing clinical documents for the patients, showing clinical images, providing instruction videos for patients (Gellis, Kenaley Have, 2014). This will help the health consumers to take the control of their own health and the health services become more interactive. Using this kind of services users can get their health status and take preventive measures for faster cure of any decease according to doctors medical advice (Polinski et al., 2016). On the other hand the technical experts and doctors both are involved in the monitoring process of functionality of Tele-health system. In the process of diagnosis, if any problem arises then it will be solved by the clinical staffs like doctors and staffs (Dorsey Topol, 2016). If any problem related to networks of the system arises then it will be solved by technical experts. Brief description about the actors Pre conditions For the registered users, they can log in into the system by providing credentials to the system. After this they can access different available informations about the services provided by the system or information related to any doctor at the health care facility (Antoniotti, Drude Rowe, 2014). New patients or users can use the functionality of Tele-health system by registering themselves to the portal of system (Dorsey Topol, 2016). After this they can provide the information related to their health issues they are facing and get medical advice from the doctors or health experts. Health information applications like Tele-health systems are mainly developed and designed to provide help to the patients on various diseases depending on symptoms. basic flows of events As provided in the use case diagram, the flow of information can be given as, Providing instruction: The doctor or the instructors who is at the remote site of the Tele-health systems, provides information related to the operation of the system (Antoniotti, Drude Rowe, 2014). By analyzing the provided information of the patients, doctors or instructors provides medical advice. Presenting slideshows: Instructors and technical experts can provide seminar or presentations to clear the doubts and problems related to the operation of the system by the users. Providing documentation: The document is provided by the instructor. This documentation can help the users of the system to solve and troubleshoot different problems (Adler-Milstein, Kvedar Bates, 2014). In addition to this, it also provides descriptive and in depth knowledge about the Tele-health system. Providing instruction videos: Instructions videos are provided to the doctors and other users of the system, so that the system can be used properly and efficiently to achieve better productivity from the system. Monitoring the functionality of the system : The functionality of the newly developed system is monitored by both technical experts and instructors or clinical staffs. The operational issues that are related to network are resolved by the technical experts (Polinski et al., 2016). On the other hand, problems related to the use of the system by patients are resolved by instructors or different clinical staffs. Alternative flows The Tele-health system consists of two alternative flows of data. These alternative methods are used in the communication process of newly implemented system. Process of solving problems and navigational communications are the component that acts as alternative flow of information (Gellis, Kenaley Have, 2014). Navigational communication system is used by the technical experts to communicate with users by using audio-visual aids. Sub flows Different sub flows like presentation is comprised in the health care system. These presentations are used to analyze and understand different documents and information provided by patients (Dorsey Topol, 2016). The large amount of data of patients are used and stored into the system for future reference. Key Scenario While using this newly implemented system, doctors checks different symptoms and diagnoses the disease of the patients (Adler-Milstein, Kvedar Bates, 2014). Next the clinical staff or doctor stores the information provided by the patients for further use. More this information can be used by other doctors if they need it at a later time. The database can be helpful for both doctors and patient when they are not in the same city but the patient needs some medical help that depends on his/her medical history (Antoniotti, Drude Rowe, 2014). This newly developed system will be helpful in this scenario to get the data about the patient in any medical emergency. Post conditions The system can be also used in different core set of physical measurements such as heart beat, blood pressure, weight of the patient (Polinski et al., 2016). After getting the information or medical help users must log out from their respective account so that the confidentiality of the personal information of the users can be maintained after using the system. Extension points The navigational communication component of the system can be used as the extension to the system. This component can be used as an extra communication channel between the patients and client (Antoniotti, Drude Rowe, 2014). Therefore it will help in more stabilized communication between the different parties using the system. It will also help in providing better client experience to the patients. Special requirements Since the Tele health system is mainly web based, therefore it is necessary to have high quality and compatible hardware/software tools (Gellis, Kenaley Have, 2014). The work stations must be fast enough to process and analyze data in real time so that the doctors or clinical staff can provide medical support to the patients. The user interface of the system must be user friendly so that a non-technical person can operate it and get medical help through it (Dorsey Topol, 2016). In addition to this, some specific security measures like use of firewalls in the network, authentication of users must be used in the system so that the users confidential data cannot be hacked or breached by intruders. Additional information about providing Documentation The clinical staff / doctor provide documentations to the system users or the patients. The documentations consist of the information about the different operations of the new Tele health system. This documentation will help the users to operate the system properly. The documentation helps the user by describing the steps in different measurements. Like how to measure blood pressure, heart beats etc. (Adler-Milstein, Kvedar Bates, 2014). This documentation helps in mitigating different risks related to the data confidentiality and availability to the patients/ doctor. As a result of improper use of the system may result into complicated health issues of the patient. Since the data is collected remotely by the system and the doctors provide medical advice to them depending on that information. Therefore incomplete and wrong information can lead to wrong treatment of the patient (Dorsey Topol, 2016). Therefore it is necessary for any system to provide documentation about the operatio ns and usability of the program. References Adler-Milstein, J., Kvedar, J., Bates, D. W. (2014). Telehealth among US hospitals: several factors, including state reimbursement and licensure policies, influence adoption.Health Affairs,33(2), 207-215. Antoniotti, N. M., Drude, K. P., Rowe, N. (2014). Private payer telehealth reimbursement in the United States.Telemedicine and e-Health,20(6), 539-543. Bursell, S. E., Zang, S., Keech, A. C., Jenkins, A. J. (2016). Evolving telehealth reimbursement in Australia.Internal Medicine Journal,46(8), 977-981. Cimperman, M., BrenÄ iÄ , M. M., Trkman, P., Stanonik, M. D. L. (2013). Older adults' perceptions of home telehealth services.Telemedicine and e-Health,19(10), 786-790. Dorsey, E. R., Topol, E. J. (2016). State of Telehealth.New England Journal of Medicine,375(2), 154-161. Edwards, L., Thomas, C., Gregory, A., Yardley, L., O'Cathain, A., Montgomery, A. 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